Forms & publications
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Antivirals: HIV – rilpivirine
Appendix A - Use interactive voice response (IVR) to verify eligibility
Using the Medical Assistance Customer Service Center's interactive voice response system to check client eligibility.
Appendix B - Verifying eligibility using a magnetic card reader or MEV service
General information on how to obtain eligibility through the use of a magnetic card reader or MEV service.
Appendix C - Managed care organizations (MCOs)
Contracted managed care organization information.
Appendix D - Casualty claims and health insurance claims
General description of casualty and health insurance claims.
Appendix E - Benefit services packages
Definitions of the different eligibility programs that are offered through Medicaid.
Appendix F - Instructions to fill out the General Information for Authorization Request form
Instructions on how to complete the General Information for Authorization Request form.
Appendix G - How to check status of an authorization
Directions on how to check status of authorization requests through ProviderOne and the interactive voice response system.
Appendix H - Cover sheets for backup documentation
Describes what types of cover sheets are available and when to use them to submit additional information.